Individual provider · Type 1 NPI

Andrea Louise Didisheim, PTA

Specialist · Princeton, NJ

NPI number 1093096679 Active

Practice location

11 State Rd, Suite 400
Princeton, NJ 08540-1300

Call (609) 454-3536 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPTA40QB00235800 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093096679

Andrea Louise Didisheim, PTA's National Provider Identifier is 1093096679, issued on Sep 8, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Princeton, NJ. The record was last updated on Sep 8, 2011.